BACKGROUND AND AIMS: Despite a growing body of research on pornography use among women, there is a lack of understanding of the problematic versus non-problematic nature. The current study aimed to investigate the relationship between women's motivations for pornography use and sexual wellbeing using a cross-sectional, self-report survey design among participants from 42 countries. METHODS: The total sample included 82,243 participants, of whom 46,874 (57.0%) identified as women and were analyzed. The participants' age averaged at M = 29.67 years, with a standard deviation of SD = 10.11. Participants were asked to complete a questionnaire assessing their motivations for pornography use, as well as measures of sexual functioning, sexual desire, and sexual satisfaction. RESULTS: Study results suggest that across cultures, women's motivations for pornography use are associated with their sexual wellbeing. Specifically, when women reported using pornography for their own pleasure or sexual curiosity, it was associated with fewer sexual functioning problems and higher sexual desire. Conversely, when women reported using pornography due to a lack of sexual satisfaction in their relationships, it was associated with more sexual functioning problems. DISCUSSION AND CONCLUSIONS: These findings highlight the need to consider the multifaceted nature of pornography use among women, including the usage motives, to fully understand associations with sexual wellbeing. Additionally, the study emphasizes the importance of conducting further research utilizing longitudinal designs, to establish the directionality between pornography use motivations and sexual wellbeing among women.

Artois University France

Austrian Public Health Institute Austria

Biostatistics Consulting Center National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan

Center for Excessive Gambling Addiction Medicine Lausanne University Hospitals Lausanne Switzerland

Center on Alcohol Substance use And Addictions University of New Mexico Albuquerque USA

Centre for Advanced Research Excellence in Public Health Savar Dhaka 1342 Bangladesh

Centre of Excellence in Responsible Gaming University of Gibraltar Gibraltar Gibraltar

Charles University 1st Faculty of Medicine Department of Addictology Prague Czech Republic

Charles University Faculty of Education Department of Psychology Prague Czech Republic

Chuncheon Addiction Management Center South Korea

College of Healthcare Sciences James Cook University Australia

Compassionate Inquiry Canada

Connecticut Council on Problem Gambling Wethersfield CT USA

Connecticut Mental Health Center New Haven CT USA

Decentralized Big Data Team RIKEN Center for Advanced Intelligence Project Tokyo Japan

Departamento de Psicología Universidad Católica del Maule Chile

Departamento de Psicología y Filosofía Facultad de Ciencias Sociales Universidad de Tarapacá Arica Arica y Parinacota Chile

Département de psychologie Université de Montréal Montréal Canada

Département de Psychologie Université du Québec à Trois Rivières Trois Rivières Canada

Department of Clinical Pharmaceutical and Biological Sciences University of Hertfordshire United Kingdom

Department of Educational Psychology and Psychology of Health Pavol Jozef Safarik University in Kosice Slovakia

Department of Family Medicine National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan

Department of Health Services Srinagar 190001 India

Department of Neuropsychiatry Graduate School of Medicine Kyoto University Kyoto Japan

Department of Personality Assessment and Psychological Treatments University of Valencia Spain

Department of Psychiatry All India Institute of Medical Sciences New Delhi 110029 India

Department of Psychiatry Faculdade de Medicina Universidade de São Paulo Hospital das Clinicas Instituto de Psiquiatria Excessive Sexual Drive and Prevention of Negative Outcomes associated to Sexual Behavior Outpatient Unit Brazil

Department of Psychiatry Hallym University Chuncheon Sacred Heart Hospital South Korea

Department of Psychiatry Schulich School of Medicine and Dentistry Western University London Health Sciences Centre and St Joseph's Health Care London London ON Canada Lawson Health Research Institute London Ontario Canada

Department of Psychology and Cognitive Science University of Trento Italy

Department of Psychology and Neuroscience Auckland University of Technology Auckland New Zealand

Department of Psychology College of Humanity and Social Science Fuzhou University China

Department of Psychology Humanities and Social Sciences University of Zagreb Croatia

Department of Psychology Queen's University Kingston Canada

Department of Psychology Shardha University India

Department of Psychology University of Nevada Las Vegas NV USA

Department of Psychology University of New Mexico Albuquerque USA

Department of Public Health and Informatics Jahangirnagar University Savar Dhaka 1342 Bangladesh

Department of Sociology Faculty of Humanities and Social Sciences University of Zagreb Croatia

Departmento de Psicología Básica Clínica y Psicobiología University Jaume 1 of Castellón Spain

Doctoral School of Psychology ELTE Eötvös Loránd University Budapest Hungary

Facultad de Ciencias de la Salud Universidad Privada del Norte Lima Perú

Facultad de Medicina Universidad Científica del Sur Lima Perú

Faculty of Philosophy Ss Cyril and Methodius University in Skopje Republic of North Macedonia

Faculty of Psychology University of Cuenca Ecuador

Florida State University Republic of Panama

General University Hospital Prague Department of Addictology Czech Republic

Health Promotion Research Centre University of Galway Ireland

HELP University Malaysia

Institute for Behavioural Addictions Sigmund Freud University Vienna Austria

Institute for Mental Health and Wellbeing College of Education Psychology and Social Work Flinders University Adelaide Australia

Institute for Neural Computations University of California San Diego USA

Institute for Sex Research Sexual Medicine and Forensic Psychiatry; University Medical Centre Hamburg Eppendorf;Hamburg Germany

Institute of Allied Health Sciences College of Medicine National Cheng Kung University Tainan Taiwan

Institute of Forensic Psychiatry and Sex Research Center for Translational Neuro and Behavioral Science University of Duisburg Essen Essen Germany

Institute of Forensic Psychiatry and Sex Research Center for Translational Neuro and Behavioral Sciences University of Duisburg Essen Essen Germany

Institute of Psychlogy Polish Academy of Sciences Poland

Institute of Psychology Cardinal Stefan Wyszynski University Warsaw Poland

Institute of Psychology ELTE Eötvös Loránd University Budapest Hungary

Institute of Psychology University of Lausanne Lausanne Switzerland

Interdisciplinary Research Centre on Intimate Relationship Problems and Sexual Abuse Chercheure régulière Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles Canada

Laboratory of Behavioral Medicine Neuroscience Institute Lithuanian University of Health Sciences Palanga Lithuania

Leuven School For Mass Communication KU Leuven Leuven Belgium

Macedonian Academy of Sciences and Arts Republic of North Macedonia

Nottingham Trent University United Kingdom

Office of the Vice President for Research Innovation and Impact South East Technological University Waterford Ireland

SAMRC Unit on Risk and Resilience in Mental Disorders Dept of Psychiatry and Neuroscience Institute University of Cape Town

SAMRC Unit on Risk and Resilience in Mental Disorders Stellenbosch University South Africa

School of Psychology University of Southampton United Kingdom

School of Social Work Faculty of Social Welfare and Health Sciences University of Haifa Israel

Section of Sexual Psychopathology Department of Dynamic and Clinical Psychology and Health Studies Sapienza University of Rome Rome Italy

Sistema Nacional de Investigación SENACYT Panama

Universidad Pedagógca y Tecnológica de Colombia Colombia

Universidad Privada de Santa Cruz de la Sierra Bolivia

University of Baghdad College of Medicine Iraq

University of Warith Al Anbiyaa College of Medicine Karbala Iraq

Virtual Teaching and Cyberpsychology Laboratory School of Psychology National Autonomous University of Mexico Mexico

William James Center for Research Departamento de Educação e Psicologia Universidade de Aveiro Aveiro Portugal

Yale University School of Medicine New Haven CT USA

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